Low vision is a common problem of older patients. As a primary care pr
actitioner, you are not expected to treat most ocular problems, but yo
u can play an important role by identifying patients with visual impai
rment. Familiarize yourself with the normal visual changes that occur
with aging as well as the more common age-related ocular diseases, inc
luding glaucoma, cataracts, age-related macular degeneration, and diab
etic retinopathy. You can identify patients with visual problems with
a careful history and basic in-office tests of visual acuity. Refer pa
tients found to have visual impairment to an eye care specialist for f
urther evaluation.